diff --git a/inst/csv/OMOP_CDMv5.3_Field_Level.csv b/inst/csv/OMOP_CDMv5.3_Field_Level.csv
index 63ef6a52..b7fd37c3 100644
--- a/inst/csv/OMOP_CDMv5.3_Field_Level.csv
+++ b/inst/csv/OMOP_CDMv5.3_Field_Level.csv
@@ -271,7 +271,7 @@ provider,care_site_id,No,integer,This is the CARE_SITE_ID for the location that
 provider,year_of_birth,No,integer,NA,NA,No,No,NA,NA,NA,NA,NA
 provider,gender_concept_id,No,integer,This field represents the recorded gender of the provider in the source data.,"If given, put a concept from the gender domain representing the recorded gender of the provider. [Accepted Concepts](http://athena.ohdsi.org/search-terms/terms?domain=Gender&standardConcept=Standard&page=1&pageSize=15&query=).",No,Yes,CONCEPT,CONCEPT_ID,Gender,NA,NA
 provider,provider_source_value,No,varchar(50),Use this field to link back to providers in the source data. This is typically used for error checking of ETL logic.,Some use cases require the ability to link back to providers in the source data. This field allows for the storing of the provider identifier as it appears in the source.,No,No,NA,NA,NA,NA,NA
-provider,specialty_source_value,No,varchar(50),"This is the kind of provider or specialty as it appears in the source data. This includes physician specialties such as internal medicine, emergency medicine, etc. and allied health professionals such as nurses, midwives, and pharmacists.",Put the kind of provider as it appears in the source data. This field is up to the discretion of the ETL-er as to whether this should be the coded value from the source or the text description of the lookup value.,No,No,NA,NA,NA,NA,NA
+provider,specialty_source_value,No,varchar(50),"This refers to the specific type of healthcare provider or field of expertise listed in the source data, encompassing physician specialties like internal medicine, emergency medicine, etc., as well as allied health professionals such as nurses, midwives, and pharmacists. It covers medical specialties like surgery, internal medicine, and radiology, while other services like prosthetics, acupuncture, and physical therapy fall under the domain of ""Service.""",The type of provider and their specialty should be entered as they appear in the source data. The decision to use either the coded value or the text description is left to the discretion of the ETL-er.,No,No,NA,NA,NA,NA,NA
 provider,specialty_source_concept_id,No,integer,This is often zero as many sites use proprietary codes to store physician speciality.,If the source data codes provider specialty in an OMOP supported vocabulary store the concept_id here.,No,Yes,CONCEPT,CONCEPT_ID,NA,NA,NA
 provider,gender_source_value,No,varchar(50),This is provider's gender as it appears in the source data.,Put the provider's gender as it appears in the source data. This field is up to the discretion of the ETL-er as to whether this should be the coded value from the source or the text description of the lookup value.,No,No,NA,NA,NA,NA,NA
 provider,gender_source_concept_id,No,integer,This is often zero as many sites use proprietary codes to store provider gender.,If the source data codes provider gender in an OMOP supported vocabulary store the concept_id here.,No,Yes,CONCEPT,CONCEPT_ID,NA,NA,NA
diff --git a/inst/csv/OMOP_CDMv5.4_Field_Level.csv b/inst/csv/OMOP_CDMv5.4_Field_Level.csv
index f9bfadec..5ee035c2 100644
--- a/inst/csv/OMOP_CDMv5.4_Field_Level.csv
+++ b/inst/csv/OMOP_CDMv5.4_Field_Level.csv
@@ -289,7 +289,7 @@ provider,care_site_id,No,integer,This is the CARE_SITE_ID for the location that
 provider,year_of_birth,No,integer,NA,NA,No,No,NA,NA,NA,NA,NA
 provider,gender_concept_id,No,integer,This field represents the recorded gender of the provider in the source data.,"If given, put a concept from the gender domain representing the recorded gender of the provider. [Accepted Concepts](http://athena.ohdsi.org/search-terms/terms?domain=Gender&standardConcept=Standard&page=1&pageSize=15&query=).",No,Yes,CONCEPT,CONCEPT_ID,Gender,NA,NA
 provider,provider_source_value,No,varchar(50),Use this field to link back to providers in the source data. This is typically used for error checking of ETL logic.,Some use cases require the ability to link back to providers in the source data. This field allows for the storing of the provider identifier as it appears in the source.,No,No,NA,NA,NA,NA,NA
-provider,specialty_source_value,No,varchar(50),"This is the kind of provider or specialty as it appears in the source data. This includes physician specialties such as internal medicine, emergency medicine, etc. and allied health professionals such as nurses, midwives, and pharmacists.",Put the kind of provider as it appears in the source data. This field is up to the discretion of the ETL-er as to whether this should be the coded value from the source or the text description of the lookup value.,No,No,NA,NA,NA,NA,NA
+provider,specialty_source_value,No,varchar(50),"This refers to the specific type of healthcare provider or field of expertise listed in the source data, encompassing physician specialties like internal medicine, emergency medicine, etc., as well as allied health professionals such as nurses, midwives, and pharmacists. It covers medical specialties like surgery, internal medicine, and radiology, while other services like prosthetics, acupuncture, and physical therapy fall under the domain of ""Service.""",The type of provider and their specialty should be entered as they appear in the source data. The decision to use either the coded value or the text description is left to the discretion of the ETL-er.,No,No,NA,NA,NA,NA,NA
 provider,specialty_source_concept_id,No,integer,This is often zero as many sites use proprietary codes to store physician speciality.,If the source data codes provider specialty in an OMOP supported vocabulary store the concept_id here.,No,Yes,CONCEPT,CONCEPT_ID,NA,NA,NA
 provider,gender_source_value,No,varchar(50),This is provider's gender as it appears in the source data.,Put the provider's gender as it appears in the source data. This field is up to the discretion of the ETL-er as to whether this should be the coded value from the source or the text description of the lookup value.,No,No,NA,NA,NA,NA,NA
 provider,gender_source_concept_id,No,integer,This is often zero as many sites use proprietary codes to store provider gender.,If the source data codes provider gender in an OMOP supported vocabulary store the concept_id here.,No,Yes,CONCEPT,CONCEPT_ID,NA,NA,NA